Individual provider · Type 1 NPI

Tabitha D. Lorougnon

Licensed Practical Nurse · Manchester, CT

NPI number 1396632147 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Call (860) 731-5522 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X46448 (CT)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1396632147

Tabitha D. Lorougnon's National Provider Identifier is 1396632147, issued on Jun 23, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Manchester, CT. The record was last updated on Jun 23, 2025.